Provider Demographics
NPI:1184859753
Name:LOR, SU-CHEN YOU SR (ACUPUNCTURIST OUD)
Entity Type:Individual
Prefix:MRS
First Name:SU-CHEN
Middle Name:YOU
Last Name:LOR
Suffix:SR
Gender:F
Credentials:ACUPUNCTURIST OUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66-51 SAUNDERS ST.
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4635
Mailing Address - Country:US
Mailing Address - Phone:718-268-5836
Mailing Address - Fax:
Practice Address - Street 1:66-51 SAUNDERS ST.
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11374-4635
Practice Address - Country:US
Practice Address - Phone:718-268-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN.Y.S. NO#000101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000101OtherN.Y.S. LIC